Angelina Alba
Individual provider Active NPI Foster Care Agency · Kahului, HI
NPI 1558085183 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1558085183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 4-22059 (HI)
- Practice address
- 808 Poai PL
Kahului, HI 96732-2646 - Phone
- (808) 868-1507
- Fax
- (808) 214-6667
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4-22059 | HI | MD | Foster Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 4-22059 | HI | Yes |
Addresses
Primary practice location
808 Poai PL
Kahului, HI 96732-2646
Mailing address
808 Poai PL
Kahului, HI 96732-2646
Phone (808) 868-1507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4-220059 | Other | HI | COMTIES OF AMERICA |
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.